School Chronic Health Services

Children attend school with a range of health conditions, both acute and chronic. The school health service staff are responsible for the prevention and management of these conditions within the school environment. For helpful information on allergies, anaphylaxis, asthma, diabetes, epilepsy and seizures, healthcare plans, mental health issues, and traumatic brain injuries, please visit our School Health Resource Library School Chronic Health Services Page

School nurses serve a vital role in connecting healthcare and education. As the primary health contact in schools, they address the physical, mental, emotional, and social health needs of students. Visit the Nurse Practice resources webpage for more information.

Allergies and Anaphylaxis

Asthma and allergies are common in school-age children and can affect their academic achievement if conditions are not managed properly. It is important for families, schools, and doctors to work together to support children with these conditions. The resources on the Allergies and Anaphylaxis Resource Library page offer helpful information for creating and maintaining a healthy learning environment. 

Required Reporting Forms

If an organization uses unassigned medications like epinephrine, opioid antagonist, and/or medication for respiratory distress, it must report when they administer the medication to any adult or child. Reporting is required to comply with the Texas Administrative Code. These organizations include schools, day care facilities, sports venues, institutions of higher education, or other entities. Reports must be submitted to DSHS and respective entities no later than 10 business days after the medication is administered.

Medications for Respiratory Distress

This reporting form is intended for: 

  • School districts 
  • Open-enrollment charter schools 
  • Private schools 

Report Administered Unassigned Medications for Respiratory Distress to DSHS

Epinephrine: Schools and Institutions of Higher Education

This reporting form is intended for: 

  • School districts
  • Open-enrollment charter schools
  • Private schools
  • Institutions of higher education

Schools and Institutions of Higher Education - Report Unassigned Administered Epinephrine to DSHS

Epinephrine: Certain Entities

This reporting form is intended for any entity in the state, including a governmental entity, that adopts a policy regarding the maintenance, administration, and disposal of epinephrine.

Certain Entity - Report Unassigned Administered Epinephrine to DSHS

Opioid Antagonists

School districts serving students in grades 6 through 12 are required to adopt a policy regarding the maintenance, administration, and disposal of opioid antagonists. An open-enrollment charter school or private school may choose to adopt a policy. Campuses must report when a school personnel member or school volunteer administers an opioid antagonist. Resources for Opioid Antagonists can be found on the Chronic Health Services Resource Library Page. 

This reporting form is intended for:

  • School districts
  • Open-enrollment charter schools
  • Private schools

Report Administered Opioid Antagonist Medication to DSHS